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与右心室发育不良相关的双出口左心室的外科矫治:右心耳与肺动脉直接吻合术

Surgical correction of double outlet left ventricle associated with hypoplastic right ventricle: direct anastomosis of right atrial appendage and pulmonary artery.

作者信息

Katogi T, Takeuchi S, Katsumoto K, Fukuda T, Morishita M, Inoue T

出版信息

Jpn Circ J. 1979 Aug;43(8):768-74. doi: 10.1253/jcj.43.768.

DOI:10.1253/jcj.43.768
PMID:501899
Abstract

This reports concerns a 9 years old boy, who had situs solitus and atrioventricular concordance with double outlet left ventricle, pulmonary stenosis, tricuspid stenosis, ventricular septal defect, secundum atrial septal defects and hypoplastic right ventricle. Previous Blalock-Taussig shunt was created at the age of 11 months. Total correction consisted of closure of atrial septal defect and tricuspid valve orifice, and direct anastomosis of right atrial appendage to pulmonary trunk. Though atrial pacing was required for the immediate post operative period, the patient regained sinus rhythm 3 days after operation. He is doing well at present, one year after the operation.

摘要

本报告涉及一名9岁男孩,其心脏位置正常,心房心室连接一致,伴有双出口左心室、肺动脉狭窄、三尖瓣狭窄、室间隔缺损、继发孔型房间隔缺损及右心室发育不全。患儿11个月大时曾行Blalock-Taussig分流术。根治性手术包括闭合房间隔缺损和三尖瓣口,以及将右心耳直接吻合至肺动脉干。尽管术后初期需要心房起搏,但患者术后3天恢复窦性心律。术后一年,他目前情况良好。

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Jpn Circ J. 1979 Aug;43(8):768-74. doi: 10.1253/jcj.43.768.
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